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Obezite cerrahisi uygulanan kadın hastaların solunum fonksiyon değişiklikleri

Year 2014, Volume: 27 Issue: 1, 32 - 35, 30.09.2015

Hacer Kuzu Okur Aziz Bora Karip Orhan Aras İksan Taşdelen Hasan Altun Kemal Memişoğlu

Abstract

Amaç: Bu çalışmada, obezite cerrahisi uygulanan hastalarda
preoperatif ve postoperatif dönemde kilo değişimleri ile birlikte
solunum fonksiyonlarında ortaya çıkabilecek değişikliklerin
araştırılması amaçlandı.
Hastalar ve Yöntemler: Retrospektif yapılan bu çalışmada
2013 yılı ilk üç ayı içinde obezite cerrahisi geçiren tüm hastalar
(n=55) içinde dışlama kriterleri olan kronik obstrüktif akciğer
hastalığı, astım, konjestif kalp yetmezliği ve endokrin bozukluklar
çalışma dışı bırakıldığında toplam 25 kadın hasta (yaş ortalaması
±SD, 35,7±7,5 yıl) çalışmaya dahil edildi. Preoperatif ve
postoperatif 6. aydaki vücut ağırlığı, vücut kitle indeksi ve
solunum fonksiyon test parametreleri karşılaştırıldı. Operasyona
bağlı vücut kitle indeksi değişimi ile solunum fonksiyonlarındaki
değişim arasında korelasyon araştırıldı.
Bulgular: Obezite cerrahisi öncesi ve cerrahiden altı ay sonra
vücut ağırlığı ve vücut kitle indeksi sırasıyla 118,6±13,8 kg’dan
90,9±13,3 kg’a ve 43,5±4,3 kg/m2’den 33,4±5,1 kg/m2’ye değişti
(her ikisi için p < 0,001). Solunum fonksiyon testindeki tüm
parametrelerde preoperatif ve postopetarif 6.ay arasındaki
değişiklikler istatistiksel olarak anlamlıydı.
Sonuç: Obezite cerrahisi uygulanan hastaların postoperatif
dönemde vücut kitle indeksindeki azalma ile birlikte solunum
fonksiyon test parametrelerinde iyileşme görüldü.

Keywords

Obezite Pulmoner fonksiyon Spirometrik test Obezite cerrahisi Sleeve gastrektomi Vücut kitle indeksi

References

  • 1. Obesity: preventing and managing the global epidemic: report of aWHO consultation. WHO technical report series; 894. Geneva: WHO,1999.
  • 2. WHO MONICA project: Risk factors. International Epidemiology 1888;18:46-55.
  • 3. Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg 2003;13:329-30. doi:10.1381/ 096089203765887598
  • 4. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu Birinci basamak hekimler için Obezite ile Mücadele El Kitabı. Ankara: Anıl Matbaacı- lık, 2013:22.
  • 5. Eeg-Olofsson K, Cederholm J, Nilsson PM, et al. Risk of cardiovascular disease and mortality in overweight and obese patients with type 2 diabetes: an observational study in 13,087 patients. Diabetologia 2009;52:65-73. doi: 10.1007/s00125-008-1190-x
  • 6. Kopelman PG. Clinical complications of obesity. Clin Endocrinol Metab 1984;13:613-34.
  • 7. Guimarães C, Martins MV, Moutinho Dos Santos J. Pulmonary function tests in obese people candidate to bariatric surgery. Rev Port Pneumol 2012 ;18:115-9. doi: 10.1016/j.rppneu.2012.01.005
  • 8. Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg 2013;56:347-52. doi: 10.1503/cjs.033511
  • 9. WHO Expert Committee. Physical status: the use and interpretation of anthropometry. WHO Technical Report Series no 854. Geneva: WHO, 1885.
  • 10. Koening SM.Pulmonary complications of obesity. AM J Epidemiol 2001;321:249-79.
  • 11. Sütbeyaz ST, İbrahimoğlu F, Sezer N, et al. Obez bireylerde vücut yağ dağılımının pulmoner fonksiyon ve solunum kasları kuvveti üzerine etkileri. Türk Fiz Tıp Rehab Derg 2006;52:15-8.
  • 12. Mailo C, Mohamed EI, Carbonelli MG. Body composition and respiratory function. Acta Diabetol 2003;40:32-8.
  • 13. Bottai M, Pistelli F, Pede F D, et al. Longitudinal changes of body mass ındex, spirometry and diffusion in a general population. Eur Respir J 2002;20:665-73. doi: 10.1183/09031936.02.01282001
  • 14. De Souza SA, Faintuch J, Sant’anna AF. Effect of weight loss on aerobic capacity in patients with severe obesity before and after bariatric surgery. Obes Surg 2010;20:871-5. doi: 10.1007/s11695-010- 0109-z
  • 15. Silva AMO, Boin IFS, Pareja JC, et al. - Análise da função respirató- ria em pacientes obesos submetidos à operação FobiCapella. Rev Col Bras Cir 2007;34:314-20.
  • 16. Crapo RO, Kelly TM, Elliot CG, et al. Spirometry as a preoperative screening test in morbidly obese patients. Surgery 1986;99:763-7.
  • 17. World Health Organization. Obesity and Overweight FactSheet No: 311. Geneva: WHO. Available at URL: http://who.int/mediacentre/ factsheets/fs3117en/print. Accessed: 10.10.2013.
  • 18. Kolotkin RL, Crosby RD, Willians GR, et al. The relationship between health-related quality of life and weight loss. Obes Res 2001;9:564-71.

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Year 2014, Volume: 27 Issue: 1, 32 - 35, 30.09.2015

Hacer Kuzu Okur Aziz Bora Karip Orhan Aras İksan Taşdelen Hasan Altun Kemal Memişoğlu

Abstract

Objectives: This study aims to investigate the changes in respiratory functions, which can occur together with weight changes in the preoperative and postoperative period in patients who have undergone obesity surgery. Patients and Methods: In this retrospective study all patients (n=55) who had undergone obesity surgery during the first three months of 2013 were examined and 25 female patients (mean age ±SD, 35.7±7.5 year) who met the required criteria (lack of chronic obstructive pulmonary disease, asthma, congestive heart failure and endocrine disorders) were included. A comparison was made between the preoperative and postoperative 6th month body weight, body mass index and respiratory function test parameters. Results: Mean weight measured in the preoperative and 6th postoperative months was 118.6±13.8 and 90.9±13.3 respectively while body mass index was 43.5±4.3 and 33.4±5.1 kg/m, respectively (p<0.001 for both). Changes in all the pulmonary function test parameters between the preoperative to the 6th month postoperative period were also significant. Conclusion: Patients who had undergone obesity surgery, had a decrease in body mass index. In addition, they showed improvement in the respiratory function test parameters in the postoperative period.

Keywords

Obesity Respiratory functions Spirometry test Obesity surgery Sleeve gastrectomy Body mass index

References

  • 1. Obesity: preventing and managing the global epidemic: report of aWHO consultation. WHO technical report series; 894. Geneva: WHO,1999.
  • 2. WHO MONICA project: Risk factors. International Epidemiology 1888;18:46-55.
  • 3. Deitel M. Overweight and obesity worldwide now estimated to involve 1.7 billion people. Obes Surg 2003;13:329-30. doi:10.1381/ 096089203765887598
  • 4. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu Birinci basamak hekimler için Obezite ile Mücadele El Kitabı. Ankara: Anıl Matbaacı- lık, 2013:22.
  • 5. Eeg-Olofsson K, Cederholm J, Nilsson PM, et al. Risk of cardiovascular disease and mortality in overweight and obese patients with type 2 diabetes: an observational study in 13,087 patients. Diabetologia 2009;52:65-73. doi: 10.1007/s00125-008-1190-x
  • 6. Kopelman PG. Clinical complications of obesity. Clin Endocrinol Metab 1984;13:613-34.
  • 7. Guimarães C, Martins MV, Moutinho Dos Santos J. Pulmonary function tests in obese people candidate to bariatric surgery. Rev Port Pneumol 2012 ;18:115-9. doi: 10.1016/j.rppneu.2012.01.005
  • 8. Sarkhosh K, Birch DW, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg 2013;56:347-52. doi: 10.1503/cjs.033511
  • 9. WHO Expert Committee. Physical status: the use and interpretation of anthropometry. WHO Technical Report Series no 854. Geneva: WHO, 1885.
  • 10. Koening SM.Pulmonary complications of obesity. AM J Epidemiol 2001;321:249-79.
  • 11. Sütbeyaz ST, İbrahimoğlu F, Sezer N, et al. Obez bireylerde vücut yağ dağılımının pulmoner fonksiyon ve solunum kasları kuvveti üzerine etkileri. Türk Fiz Tıp Rehab Derg 2006;52:15-8.
  • 12. Mailo C, Mohamed EI, Carbonelli MG. Body composition and respiratory function. Acta Diabetol 2003;40:32-8.
  • 13. Bottai M, Pistelli F, Pede F D, et al. Longitudinal changes of body mass ındex, spirometry and diffusion in a general population. Eur Respir J 2002;20:665-73. doi: 10.1183/09031936.02.01282001
  • 14. De Souza SA, Faintuch J, Sant’anna AF. Effect of weight loss on aerobic capacity in patients with severe obesity before and after bariatric surgery. Obes Surg 2010;20:871-5. doi: 10.1007/s11695-010- 0109-z
  • 15. Silva AMO, Boin IFS, Pareja JC, et al. - Análise da função respirató- ria em pacientes obesos submetidos à operação FobiCapella. Rev Col Bras Cir 2007;34:314-20.
  • 16. Crapo RO, Kelly TM, Elliot CG, et al. Spirometry as a preoperative screening test in morbidly obese patients. Surgery 1986;99:763-7.
  • 17. World Health Organization. Obesity and Overweight FactSheet No: 311. Geneva: WHO. Available at URL: http://who.int/mediacentre/ factsheets/fs3117en/print. Accessed: 10.10.2013.
  • 18. Kolotkin RL, Crosby RD, Willians GR, et al. The relationship between health-related quality of life and weight loss. Obes Res 2001;9:564-71.
There are 18 citations in total.

Details

Primary Language tr.
Journal Section Articles
Authors

Hacer Kuzu Okur This is me

Aziz Bora Karip This is me

Orhan Aras This is me

İksan Taşdelen This is me

Hasan Altun This is me

Kemal Memişoğlu This is me

Publication Date September 30, 2015
Published in Issue Year 2014 Volume: 27 Issue: 1

Cite

APA Kuzu Okur, H., Karip, A. B., Aras, O., Taşdelen, İ., et al. (2015). -. Marmara Medical Journal, 27(1), 32-35. https://doi.org/10.5472/MMJ.2013.03256.1
AMA Kuzu Okur H, Karip AB, Aras O, Taşdelen İ, Altun H, Memişoğlu K. -. Marmara Med J. September 2015;27(1):32-35. doi:10.5472/MMJ.2013.03256.1
Chicago Kuzu Okur, Hacer, Aziz Bora Karip, Orhan Aras, İksan Taşdelen, Hasan Altun, and Kemal Memişoğlu. “-”. Marmara Medical Journal 27, no. 1 (September 2015): 32-35. https://doi.org/10.5472/MMJ.2013.03256.1.
EndNote Kuzu Okur H, Karip AB, Aras O, Taşdelen İ, Altun H, Memişoğlu K (September 1, 2015) -. Marmara Medical Journal 27 1 32–35.
IEEE H. Kuzu Okur, A. B. Karip, O. Aras, İ. Taşdelen, H. Altun, and K. Memişoğlu, “-”, Marmara Med J, vol. 27, no. 1, pp. 32–35, 2015, doi: 10.5472/MMJ.2013.03256.1.
ISNAD Kuzu Okur, Hacer et al. “-”. Marmara Medical Journal 27/1 (September 2015), 32-35. https://doi.org/10.5472/MMJ.2013.03256.1.
JAMA Kuzu Okur H, Karip AB, Aras O, Taşdelen İ, Altun H, Memişoğlu K. -. Marmara Med J. 2015;27:32–35.
MLA Kuzu Okur, Hacer et al. “-”. Marmara Medical Journal, vol. 27, no. 1, 2015, pp. 32-35, doi:10.5472/MMJ.2013.03256.1.
Vancouver Kuzu Okur H, Karip AB, Aras O, Taşdelen İ, Altun H, Memişoğlu K. -. Marmara Med J. 2015;27(1):32-5.